Triple positive DCIS...should I remove my ovaries?
Hi all~
I was diagnosed at 49 with triple positive DCIS. Opted for bilateral mastectomies because of my strong family history and to avoid radiation and tamoxifin. I had my uterus removed many years ago, but kept my ovaries. Now at almost 53, my gyn says that my blood results show that I have not even begun menopause, and that I should consider removing my ovaries to avoid the extra estrogen production that may go on for several more years. That makes sense to me, but I'd like any input...positive or negative...from you experienced ladies. What would you do?
Tami
Comments
-
I did not have "in situ" BC. Surgical menopause is harsh and irreversible it may affect your bone health and your heart. Think long and hard, weigh your risks and benefits from this. I have been without my ovaries for a year and my vagina is as dry as a Sahara, it has affected my mood and sleep s well. But I am also stage III and BRCA1+ so I had no choice. With DCIS and LCIS it is not commonplace to recommend removing the ovaries unless something else is going on as well. Do you have some other gynecological issues that warrant removal of the ovaries?
-
I had mine removed over a year ago - I do get some hot flashes, but everything else is a-ok.
-
Are you on Tamoxifen? Why doesn't your oncologist think that's enough? I was diagnosed with triple positive IDC at Stage IIIA. I am having my ovulation suppressed through monthly Zoladex shots. This allows me to take Aromasin, another "estrogen sucking drug." I asked my OB/GYN about having my ovaries out. His feeling was that I should keep them if I could tolerate the Zoladex. Studies show that women who keep their ovaries live longer than women who don't. Zoladex is OK; I get my shot and get my port flushed (want to keep my port "just in case"). It takes about 10 minutes.
Best wishes to you; hope you can figure out what's best to you.
-
I would talk to an oncologist. Gyn's are not experts in the medical treatment of breast cancer, so I would be suspicious as to the motivation of your gyn in suggesting surgery that will benefit her pocket book and is not normally suggested for treating in-situ cancers.
-
I agree with lisa-e. Talk to an oncologist about this. If the onc does think your ovaries are a problem, at your age I would think suppression with zoladex or lupron for a few years would be an alternative to surgery. And it is reversible.
-
Thank you ladies! I had not heard about estrogen suppression.
Inks~ Thanks for the info, and yes I'm afraid to lose moisture down there...it's about the only positive thing I have going for me sexually. I know it's not normal to suggest removal, and my gyn is on the fence about it, but she's talked to my breast surgeon and her gyn partners about my case. I do have ovarian cysts that they've been watching for awhile now and my estrogen level is considered abnormally high.
Jen~ Glad to hear your medical menopause went well.
Elaine~ I'm not on tamoxifin because I had bilateral mastectomies, so no need for it. Thanks for the suppression info!
Lisa~ I agree with gyn's not being cancer experts. What type of oncologist would deal with this? Medical oncologist? I only had one appt. with an oncologist before having my mastectomies and she was a complete bitch...yelling at me for "over-reacting" because I wanted bilateral mastectomies vs. lumectomy/radiation/tamoxofin. Good thing I didn't follow her suggestions as I had LCIS in my "non-cancer" breast after pathology.
Shetland~ Thanks for your input...very sound!
Have a wonderful holiday season everyone and thank you again!
Tami
-
Hi Tami, you should probably speak with an oncology gynaecologist. I've had an ovarian cyst for a year that has not resolved and have to decide if I want it removed. This is who is following me and I was referred to her by my oncologist. It's a very hard decision as ovaries still produce estrogen and androgens, although very small amounts, after menopause. I'm trying to research as much as I can before making my decision and have an apt to discuss all my concerns on wed. Wishing you the best with this decision.
-
Thanks Sly...would you mind keeping me posted after your appointment?
Tami
-
Tamiami, I would find a medical oncologist to discuss this issue with, or possibly as slv58 suggests, a gynecologic oncologist.
-
my gyn and my onc both agreed that there are numerous benefits to keeping your ovaries. Their collective answer to me is that we should keep my ovaries full stop. I take a Lupron injection every three months
-
Tami I will update you, although our situations are unique to us so please keep that in mind. I do know my regular gynaecologist told me that the latest studies (I believe it's called the Parker study) showed that women who keep their ovaries have better quality of life, live longer and have less incidence of heart disease, osteoarthritis and for some reason which their not sure why, lung cancer. I've also read that they aren't exactly sure what role androgens play in post menopausal women but know it is tied to happiness and sexual function. Based on this I would love to keep both ovaries however ovarian cancer is extremely hard to detect early and although my Gynacology oncologist feels there is a slim chance my ovarian cyst is malignant, she can't garantee it. I've been watched by vaginal ultrasound which is suppose to be the best diagnostic tool and at one point they thought it was a Fallopian tube cyst. If they can't tell the difference between an ovary and Fallopian tube, how am I to feel confident that they can tell my thinly septated cyst isn't malignant? Im triple negative so our situations are different, but I think it's important that you research as much as you can before you decide.
Hugs, Shari
-
Hi, I am considering having my ovaries removed and am waiting on a referral to see the doctor. Why are they saying women who keep ovaries live longer? I was ER positive but am also post menopausal and heard that even so, your body still produces estrogen.
Categories
- All Categories
- 679 Advocacy and Fund-Raising
- 289 Advocacy
- 68 I've Donated to Breastcancer.org in honor of....
- Test
- 322 Walks, Runs and Fundraising Events for Breastcancer.org
- 5.6K Community Connections
- 282 Middle Age 40-60(ish) Years Old With Breast Cancer
- 53 Australians and New Zealanders Affected by Breast Cancer
- 208 Black Women or Men With Breast Cancer
- 684 Canadians Affected by Breast Cancer
- 1.5K Caring for Someone with Breast cancer
- 455 Caring for Someone with Stage IV or Mets
- 260 High Risk of Recurrence or Second Breast Cancer
- 22 International, Non-English Speakers With Breast Cancer
- 16 Latinas/Hispanics With Breast Cancer
- 189 LGBTQA+ With Breast Cancer
- 152 May Their Memory Live On
- 85 Member Matchup & Virtual Support Meetups
- 375 Members by Location
- 291 Older Than 60 Years Old With Breast Cancer
- 177 Singles With Breast Cancer
- 869 Young With Breast Cancer
- 50.4K Connecting With Others Who Have a Similar Diagnosis
- 204 Breast Cancer with Another Diagnosis or Comorbidity
- 4K DCIS (Ductal Carcinoma In Situ)
- 79 DCIS plus HER2-positive Microinvasion
- 529 Genetic Testing
- 2.2K HER2+ (Positive) Breast Cancer
- 1.5K IBC (Inflammatory Breast Cancer)
- 3.4K IDC (Invasive Ductal Carcinoma)
- 1.5K ILC (Invasive Lobular Carcinoma)
- 999 Just Diagnosed With a Recurrence or Metastasis
- 652 LCIS (Lobular Carcinoma In Situ)
- 193 Less Common Types of Breast Cancer
- 252 Male Breast Cancer
- 86 Mixed Type Breast Cancer
- 3.1K Not Diagnosed With a Recurrence or Metastases but Concerned
- 189 Palliative Therapy/Hospice Care
- 488 Second or Third Breast Cancer
- 1.2K Stage I Breast Cancer
- 313 Stage II Breast Cancer
- 3.8K Stage III Breast Cancer
- 2.5K Triple-Negative Breast Cancer
- 13.1K Day-to-Day Matters
- 132 All things COVID-19 or coronavirus
- 87 BCO Free-Cycle: Give or Trade Items Related to Breast Cancer
- 5.9K Clinical Trials, Research News, Podcasts, and Study Results
- 86 Coping with Holidays, Special Days and Anniversaries
- 828 Employment, Insurance, and Other Financial Issues
- 101 Family and Family Planning Matters
- Family Issues for Those Who Have Breast Cancer
- 26 Furry friends
- 1.8K Humor and Games
- 1.6K Mental Health: Because Cancer Doesn't Just Affect Your Breasts
- 706 Recipe Swap for Healthy Living
- 704 Recommend Your Resources
- 171 Sex & Relationship Matters
- 9 The Political Corner
- 874 Working on Your Fitness
- 4.5K Moving On & Finding Inspiration After Breast Cancer
- 394 Bonded by Breast Cancer
- 3.1K Life After Breast Cancer
- 806 Prayers and Spiritual Support
- 285 Who or What Inspires You?
- 28.7K Not Diagnosed But Concerned
- 1K Benign Breast Conditions
- 2.3K High Risk for Breast Cancer
- 18K Not Diagnosed But Worried
- 7.4K Waiting for Test Results
- 603 Site News and Announcements
- 560 Comments, Suggestions, Feature Requests
- 39 Mod Announcements, Breastcancer.org News, Blog Entries, Podcasts
- 4 Survey, Interview and Participant Requests: Need your Help!
- 61.9K Tests, Treatments & Side Effects
- 586 Alternative Medicine
- 255 Bone Health and Bone Loss
- 11.4K Breast Reconstruction
- 7.9K Chemotherapy - Before, During, and After
- 2.7K Complementary and Holistic Medicine and Treatment
- 775 Diagnosed and Waiting for Test Results
- 7.8K Hormonal Therapy - Before, During, and After
- 50 Immunotherapy - Before, During, and After
- 7.4K Just Diagnosed
- 1.4K Living Without Reconstruction After a Mastectomy
- 5.2K Lymphedema
- 3.6K Managing Side Effects of Breast Cancer and Its Treatment
- 591 Pain
- 3.9K Radiation Therapy - Before, During, and After
- 8.4K Surgery - Before, During, and After
- 109 Welcome to Breastcancer.org
- 98 Acknowledging and honoring our Community
- 11 Info & Resources for New Patients & Members From the Team